Functional dentition and chronic noncommunicable diseases among adults in Brazil

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion Pub Date : 2026-05-01 Epub Date: 2026-02-23 DOI:10.1016/j.endinu.2026.501770

Galileu Bottermund Galli , Milene Rossi , Pedro Bohlke Barcellos , Luísa Casarin Rickes , Jivago da Fonseca Lopes , Eduardo Ribes Kohn , Maristela Bohlke

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引用次数: 0

Abstract

Objective

This study aimed to investigate the association between functional dentition and a prior diagnosis of diabetes mellitus (DM) and/or chronic kidney disease (CKD) in a nationally representative sample of the Brazilian population.

Methods

We conducted a cross-sectional analysis using data from the 2019 Brazilian National Health Survey (PNS). The PNS is representative of the Brazilian population. The associations between self-reported diagnoses of DM and/or CKD and the absence of functional dentition were assessed using multilevel logistic regression models, adjusted for sociodemographic and behavioral variables, such as age, sex, skin color, income, education, and smoking status.

Results

Functional dentition was absent in 9.3% of the sample (95%CI, 8.9–9.7). Additionally, 8.8% (95%CI, 8.5–9.0) reported a previous diagnosis of DM, and 1.4% (95%CI, 1.3–1.5) a prior diagnosis of CKD. The proportion of individuals with both CKD and DM was 0.29% (95%CI, 0.27–0.32). In adjusted models, DM was significantly associated with the absence of functional dentition (OR, 1.16; 95%CI, 1.07; 1.23, p < 0.001). No significant association was observed for CKD (OR, 1.06; 95%CI, 0.89; 1.26, p = 0.48) or for individuals with both DM and CKD (OR, 1.08; 95%CI, 0.74; 1.57, p = 0.66).

Conclusion

Diabetes is associated with a higher risk of functional dentition loss in the Brazilian population. Promoting collaboration between dental and medical professionals is essential to improve the prevention and management of tooth loss, particularly among individuals with diabetes, ultimately contributing to better overall health outcomes.

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巴西成年人的牙列功能和慢性非传染性疾病

目的：本研究旨在调查功能牙列与糖尿病（DM）和/或慢性肾脏疾病（CKD）的既往诊断之间的关系，该研究在巴西人群中具有全国代表性。方法利用2019年巴西国家健康调查（PNS）的数据进行横断面分析。PNS是巴西人口的代表。使用多层逻辑回归模型评估自我报告的糖尿病和/或慢性肾病诊断与牙列功能缺失之间的关系，并根据年龄、性别、肤色、收入、教育程度和吸烟状况等社会人口学和行为变量进行调整。结果9.3%的标本缺失功能牙列（95%CI, 8.9 ~ 9.7）。此外，8.8% （95%CI, 8.5-9.0）报告了既往诊断为DM， 1.4% （95%CI, 1.3-1.5）报告了既往诊断为CKD。同时患有CKD和DM的个体比例为0.29% （95%CI, 0.27-0.32）。在调整后的模型中，DM与牙列功能缺失显著相关（OR, 1.16; 95%CI, 1.07; 1.23, p < 0.001）。CKD （OR, 1.06; 95%CI, 0.89; 1.26, p = 0.48）或同时患有DM和CKD的个体（OR, 1.08; 95%CI, 0.74; 1.57, p = 0.66）无显著相关性。结论糖尿病与巴西人群功能性牙列丧失的高风险相关。促进牙科专业人员和医疗专业人员之间的合作对于改善牙齿脱落的预防和管理，特别是在糖尿病患者中，最终有助于改善总体健康结果至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Endocrinologia, Diabetes y Nutricion Nursing-Nutrition and Dietetics

CiteScore

2.10

自引率

0.00%

发文量

169

审稿时长

35 days

期刊介绍： Endocrinología, Diabetes y Nutrición is the official journal of the Spanish Society of Endocrinology and Nutrition (Sociedad Española de Endocrinología y Nutrición, SEEN) and the Spanish Society of Diabetes (Sociedad Española de Diabetes, SED), and was founded in 1954. The aim of the journal is to improve knowledge and be a useful tool in practice for clinical and laboratory specialists, trainee physicians, researchers, and nurses interested in endocrinology, diabetes, nutrition and related disciplines. It is an international journal published in Spanish (print and online) and English (online), covering different fields of endocrinology and metabolism, including diabetes, obesity, and nutrition disorders, as well as the most relevant research produced mainly in Spanish language territories. The quality of the contents is ensured by a prestigious national and international board, and by a selected panel of specialists involved in a rigorous peer review. The result is that only manuscripts containing high quality research and with utmost interest for clinicians and professionals related in the field are published. The Journal publishes Original clinical and research articles, Reviews, Special articles, Clinical Guidelines, Position Statements from both societies and Letters to the editor. Endocrinología, Diabetes y Nutrición can be found at Science Citation Index Expanded, Medline/PubMed and SCOPUS.